covid-19 - belgian respiratory society...screeningprotocol - according to local availability...
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COVID-19 - UPDATE
Respiratory Infections Working group
Epidemiology
https://www.worldometers.info/coronavirus/
General information for clinicians
• https://emcrit.org/ibcc/covid19/
A comprehensive overview of clinical, radiological, laboratory findings relatedto COVID-19 as well as management strategies
• https://epidemio.wiv-isp.be/ID/Documents/Covid19/COVID-19_InterimGuidelines_Treatment_ENG.pdf
Belgian clinical guidance for suspected and confirmed cases of COVID-19 – alsoregularly updated with latest evidence
• https://www.medrxiv.org/content/10.1101/2020.03.17.20037572v1
A systematic review and meta-analysis of clinical and prognostic factors of COVID-19 across 30 studies incl 53000 patients
Screeningprotocol - according to local availability
• Integration of Clinical suspicion Radiology (chest X-ray or CT thorax) rRT-PCR SARS-CoV-2
Reported sensitivity 43-70%
• Consider COVID-19 infected and isolate the subject if high clinical suspicion despite negativerRT-PCR
• Bronchoscopy : restrict indications ! Preferably intubated patients Urgent, life-threatening condition Exclude/confirm alternative diagnosis that will alter clinical management
Ethical questions in managing COVID-19
• Ethical Committee of UZ Leuven has issued guidance on ethicalaspects of managing the COVID-19 crisis that will likely beimplemented on national scale
1) Contact your ethical committee for explicit advice
2) https://pers.uzleuven.be/universitaire-ziekenhuizen-hanteren-dezelfde-ethische-richtlijn-voor-medisch-handelen-in-mogelijke-crisistoestand
Guidance on discharge from hospital
• Stable
Afebrile
No oxygen need
Radiological improvement
• Home isolation for 2 weeks
• Medical follow-up after discharge is advised (24-48 hrs)
A multitude of sites to follow for latest updates
Handbook on prevention and treatment, made by Chinese colleagues
https://www.alnap.org/help-library/handbook-of-covid-19-prevention-and-treatment
Link to latest COVID-19 related papers
https://www.covid-journals.nl/artikelen/epidemiologie
Follow the European situation
https://www.ecdc.europa.eu/en/novel-coronavirus-china
European lung foundation – questions and answers
https://www.europeanlung.org/en/news-and-events/news/covid-19-%E2%80%93-your-questions-answered-by-a-respiratory-expert
WHO’s COVID-19 site – also savailable in French
https://www.who.int/fr/emergencies/diseases/novel-coronavirus-2019/technical-guidance
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